ZippyGBR BSN, RN

Spinal Cord injuries, Emergency+EMS

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All Content by ZippyGBR

  1. ZippyGBR

    Uniform/title question

    ZippyGBR replied to NeuroNP's topic in International Nursing

    where you are -- for us light blue for HCAs, royal blue for RNs, navy for sister/CN/ NP, navy with small white spots for matrons and very dark grey for the Directorate of nursing senior Staff the...
  2. ZippyGBR

    How do you feel about the patients that WON't take care of themselves?

    ZippyGBR replied to diapason05's topic in General Nursing

    this is the key thing if the patient can't take care of themselves it's good nursing to take care of them if the patient WON'T take care of themselves it's not good nursing to do it for them - i...
  3. ZippyGBR

    Medical Screening Exam at triage by RN

    ZippyGBR replied to RNinED's topic in Emergency

    do you have some evidence to back that assertion up - as other posters have suggested that their BON and EMTALA it;self doesn't make that stipulation and have backed that up
  4. ZippyGBR

    Nurses that write their own orders

    ZippyGBR replied to Kanani_Ikike's topic in General Nursing

    once again good basic nursing care derailed by billing and the whole 'orders' thing at 300 USD many urology patients ought to be given their own bladder scanner at the end of their hospital...
  5. ZippyGBR

    Scheduling lunch breaks in the ED

    ZippyGBR replied to Elle2's topic in Emergency

    team nursing helps with breaks a lot (before moving to the assesment unit i curently work on) the ED i worked in up til christmas06 we used team nursing there were 3 basic teams major A , major B...
  6. ZippyGBR

    Switching to night shift?

    ZippyGBR replied to JacelRN's topic in General Nursing

    certainly where i am on the right side of the pond nights means no unit nurse manager mflitting aobut the dizyy little butterfly she is (god along knows how she even got a navy uniform nevermind a...
  7. ZippyGBR

    how to help pt's finance meds?

    ZippyGBR replied to NurseNature's topic in General Nursing

    encourage the docs to prescribe generically encourage the docs to think about the stuff like splitting pills as others have said many tablets can be succesfully split - most uncoated tablets can be...
  8. ZippyGBR

    Direct admits and "Stat" orders -- if it's that urgent why not call 911?

    ZippyGBR replied to UM Review RN's topic in General Nursing

    calling for an emergent transport should have been a no-brainer forthe doc ... calling 911 however is different matter, the patient has been seen and assessed by a health professional , who should...
  9. ZippyGBR

    Crash Course?! Thoughts on RN education

    ZippyGBR replied to jjjoy's topic in General Nursing

    this is one of the reasons why the EU and some parts of Aus have different registrations for different branches in the Uk we have 4 nursing Branches pre-reg (adult, child, mental health, learning...
  10. ZippyGBR

    Nurse practitioners overlooked???

    ZippyGBR replied to wembley1's topic in International Nursing

    that's band 6 BASIC - excludes high cost of living supplements - excludes unsocial hours (which can easily add a quarter to your wage working rotating shifts and a third to a half if you work mainly...
  11. ZippyGBR

    Free ER Care?

    ZippyGBR replied to Toquay's topic in Emergency

    your sums are wrong ref NI http://www.hmrc.gov.uk/rates/nic.htm the earnings limits are the amount under which you won't pay NI (LEL = 84gbp/ wk, threhold 97gbp /week) and the amount after which NI...
  12. ZippyGBR

    Free ER Care?

    ZippyGBR replied to Toquay's topic in Emergency

    all the more irony when it comes from someone you know isn't a taxpayer becasue they've filled i nthe back of a prescription on a previous visit the alternative is to try and engage them on discussion...
  13. ZippyGBR

    What's your sleeping schedule for working nights?

    ZippyGBR replied to teenycar's topic in General Nursing

    7 *12s but i can sleep in the day - in fact i sleep better in the day than at night - the 7*12s also gives us a 'free' week off so you effectively end up with a week off a month used to do 4 *10 and...
  14. ZippyGBR

    A surgeon's perception of nursing education.

    ZippyGBR replied to Grandy's topic in General Nursing

    usual sour grapes things like "They study behavioural sciences, pharmacology, anatomy, physiology, biochemistry and come out knowing very little about what it is to be a nurse in the truest sense of...
  15. ZippyGBR

    Palliative care question.How would you respond?

    ZippyGBR replied to ProudofmyNursingart's topic in General Nursing

    a 14 year old young person while legally a child is generally going to be in a position to make his /her own decisions some of it will depend on the exact local situation over the existance of the...
  16. ZippyGBR

    National Health Insurance

    ZippyGBR replied to ShayRN's topic in General Nursing

    it all depends how the system is contructed and whether is the 'opt out' tier did exist as you seem to assume it would if you look at the NHS the main arguement used to be about waits for elective...
  17. ZippyGBR

    Emergency care in the UK

    ZippyGBR replied to JoshuaAdamsRN's topic in Emergency

    the 4 hour target is a system wide target, some hospitals seem not to have cottoned on to this then don't admit them to an inappropriate unit - any 'admission unit' is an inapprorpaite and...
  18. ZippyGBR

    Refusal for Blood Draw

    ZippyGBR replied to MikeyBSN's topic in Emergency

    it depends on the law etc etc etc does Us legislation not have a specific crime (for the alledged perp) of refusing to give a sample ... which is assumed to be becasue the sample would be over...
  19. ZippyGBR

    Emergency care in the UK

    ZippyGBR replied to JoshuaAdamsRN's topic in Emergency

    Emergrency dept care is free other than the prescriptions ( assuming you aren't exempted by age or other valid Uk exemption) ... if a none EU citizen is admitted they are meant to be billed for...
  20. ZippyGBR

    ED Physicians with overkill

    ZippyGBR replied to ThisEDRNRocks's topic in Emergency

    obviously the US has no equivalent to IR(ME)R a piece of Uk legislation the ionising radiation (medicla exposures) regulations which places an onerous responsibility o nthe referrer to be able to...
  21. ZippyGBR

    Back-to-back 12 hour shifts

    ZippyGBR replied to Tiki_Torch's topic in General Nursing

    2 occiasionally 3 days 7 nights ( but nights are somewhat less intense and are damagement free) - also 7nioghts on = 7 nights off for
  22. ZippyGBR

    heavy lifting

    ZippyGBR replied to nads786's topic in Men in Nursing

    as nightmare says 'lifting ' is a rare occaision in the UK , plenty of devices available and it is almost unheard of not to have a hoist available in the hospital setting , there is also the aspect...
  23. ZippyGBR

    epidural catheters

    ZippyGBR replied to CRNI-ICU20's topic in General Nursing

    several issues here 1. systems design - within reson it's actually logical to make the epidural as unlike the IV system as possible to give a good check against cock ups like confusing IV pumps and...
  24. ZippyGBR

    Secondment

    ZippyGBR replied to jules0202's topic in International Nursing

    try your matron or your assistant director director of nursing iussues that have failed to be resolved by wardmanagers or matrons in my current trust seem to be solved very quickly and painlessly...
  25. ZippyGBR

    Nuses prefix.

    ZippyGBR replied to Reed04RN's topic in General Nursing

    where exactly would you use the prefix? vanity? especially given that military personnel and doctors are advised not to use their prefixes outside work settings for PERSEC in both cases and OPSEC in...